Doctor insights on:
Managing Pregnancy Complications

1

Depends on severity:
Risks are low if kidney fuction is reasonable & should be discussed with nephrologist & OB dr. Kidney infections/pyelonephritis are associated with pre-term labor so baby comes early & is small & may need nicu care but usually ok. High infant mortality associated with pregnancy for women on dialysis, < if dialysis started after onset of pregnancy.Risk after kidney transplant low if function good.
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When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to as a "post-term pregnancy."
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2

Depends:
The chances of a successful pregnancy would depend on the reasons for the miscarriages and the neonatal death.
Miscarriages are relatively common, but when a women has multiple miscarriages, that can indicate and underlying medical/genetic condition that may make it more difficult to have a normal pregnancy.
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5

In selected cases:
In certain selected cases with uncontrolled blood pressure, bleeding problems, premature fetus amongst others it is customary to involve a high risk OB /perinatologists in care of a pre eclamptic patient.
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7

Yes:
All women with multiple miscarriages are at increased risk for another one. Most women with this problem can have a normal pregnancy, but may need help. If you have had 2 or more miscarriages in a row, then you should see your gynecologist or reproductive endocrinologist for a full evaluation and possible treatment. Best of luck to you! serena chen, md. www.sbivf.com.
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11

Usually not:
However, if the appendix has ruptured, it is possible that scar tissue can form inside the abdomen from the presence of infectious material. If the scarring involves the fallopian tubes, fertility may be impacted.
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13

It depends:
Ectopic pregnancies can be treated w/medication or surgery. Early, stable ectopics in compliant patients are often treated w/methotrexate (a chemotherapy drug) & closely followed. More advanced ectopics or ectopics in patients that are unstable or complicated are usually treated by laparoscopy to remove the pregnancy and possibly the tube. An uncertain diagnosis is also a reason to operate.
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16

Yes! Via Epigenetics:
Epigenetic changes are changes to the child's dna while still a fetus. Tehse changes are induced by the maternal diet. Increasingly epigenetic changes are being implicated in a host of common diseases occuring in offspring. These changes in the babies dna that do not involve changing the dna sequence but rather modify gene expression in children.
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There are a host of potential complications in a pregnancy that range from bleeding to early labor and from medical issues like diabetes and high blood pressure to findings on ultrasound or blood tests that might suggest a problem.
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